Individual
TRACY ANN CARON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
3 OAK HILL LN APT 308, NASHUA, NH 03062-4639
(603) 320-1393
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0340
NH
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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